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Implanting A Defibrillator With Leads Via A Vein

California rates for HCPCS 33249

Puts in, or replaces, an implantable defibrillator — a device that watches the heart rhythm and delivers pacing or a shock if a dangerous fast rhythm starts. One or two leads are threaded through a vein under the collarbone into the heart and connected to a generator placed in a pocket under the skin. It covers both a first implant and a full system replacement.

Rates data updated July 2026.

How much does Implanting A Defibrillator With Leads Via A Vein cost?

$11,220

Typical facility fee. In California, July 2026.

Insurers have agreed to pay about $11,220 for this service. Most negotiated rates run $6,918 to $15,849.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 9 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $11,220 · 10th to 90th $4,898 to $24,547Professionalmedian $933 · 10th to 90th $741 to $1,862
$10.0$100.0$1.0K$10.0K$100.0Kfacility $11,220professional $933

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$3,981.07
Median
$10,715.19
Typical High
$35,481.34
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$6,456.54
Median
$11,220.18
Typical High
$20,417.38
Blue Shield
Setting
Facility
Modifier
Global
Typical Low
$67.61
Median
$13,489.63
Typical High
$36,307.81
Cigna
Setting
Facility
Modifier
Global
Typical Low
$12,022.64
Median
$15,488.17
Typical High
$31,622.78
Contra Costa Health
Setting
Professional
Modifier
Global
Typical Low
$851.14
Median
$891.25
Typical High
$33,884.42
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$724.44
Median
$933.25
Typical High
$1,862.09
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$35,481.34
Median
$43,651.58
Typical High
$138,038.43
Providence
Setting
Facility
Modifier
Global
Typical Low
$933.25
Median
$1,258.93
Typical High
$2,630.27
United
Setting
Facility
Modifier
Global
Typical Low
$15,135.61
Median
$30,902.95
Typical High
$77,624.71

Where California sits

The same service costs 24.5 times more in New Mexico than in North Dakota. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

California $11,220 · 22nd of 51
NM $37,154ND $1,514

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.